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Septal surgery is not encouraged before puberty as the surgery can affect growth centres of septum and anterior nasal spine of nasal septum.If septoplasty is done in children it can affect the growth of the midface. In severe nasal obstruction, limited cautious septoplasty can be done, in desperado.Here an young girl of 15 years of age undergo limited septoplasty in Jubilee Hospital, Trivandrum, Kerala, India.She had severe nasal blockage, mouth breathing and snoring with sleep apnea.